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tantic Laboratory Management Program LaMP Chain of <br /> Custody Record W-(Z- �2 Page—I—6f <br /> - <br /> --"-I <br /> field � <br /> company Bp/ARC Protect <br /> Name ARCO Service Station No.aWC2 <br /> Req Due Date(mm/dd/yy): Rush TAT: Yes o,z <br /> dA BP affiliated company BP/ARC Facility No: (,-c F� Lab Work Order Number: ��� <br /> Lab Name. Calscience Environmental Lab BP/ARC Facility Address: 85 East Louise Ave,Lathrop,CA Consultant/Contractor: Stantec Consulting Corp. <br /> Lab Address 7440 Lincoln Way,Garden Grove,CA 92841 City,State,ZIP Code: Lathrop,CA Cons ultant/Contractor Project No: DIRECT BILL STANTEC <br /> Lab PM. Richard Villafania Lead Regulatory Agency: San Joaquin County Environmental Health Dept Address: 3017 Kilgore Rd,Ste 100,Rancho Cordova,CA 95670 <br /> Lab Phone: 714.895.5494/Fax 7,4 894.7501 California Global ID No.: T0607700909 <br /> Consultant/Contractor PM: Brian Westhoff <br /> Lab Shipping Accnt: -- Entos Proposal No: DIRECT BILL STANTEC Phone. 916.861.0400 ext.270 <br /> Lab Bottle Order No: -- Accounting Mode: Provision OOC-BU OOC-RM Email EDD To bpvalleY(a)Stantec.com <br /> Other Info: Stage: Activity: Invoice To: BP/ARC X Contractor <br /> BP/ARC EBM: Sergio Morescalchi Matrix No.Containers/Preservative Requested Analyses Report Type&QC Level <br /> EBM Phone: 925 275.3807 N Standard X_ <br /> Co <br /> EBM Email Sergio.morescalchi dit.com Full Data Package— <br /> C U <br /> C N <br /> O <br /> U � <br /> O u o <br /> Lab Sample Description Date Time Co <br /> a w Comments <br /> No. J o E z w } <br /> Z w >, XO Note:If sample not collected,indicate"No <br /> > � a 0 <br /> Sample"in comments and single-strike out <br /> Q0 a and initial any preprinted sample description. <br /> U` m <br /> lies I ilio X IX <br /> 2 12a 1gasY, k <br /> 3 3 14, X X <br /> 4 - 3 - 3.s ti 1 1zo X X <br /> 5 - - 1. )F IzS ZXIX <br /> 6 - H - Z f08 2 <br /> 7 <br /> 6 I Z5v '1C <br /> 9 ~ w <br /> 10 - -} -Z.17, 1L 13�o <br /> Samplers Name: Thomas Walsh Relinquish d By/Affiliation Date Time Ac epted By/Affiliation Date Time <br /> Sampler's Company. Stantec Consulting <br /> Shipment Method: GSO Ship Date <br /> Shipment Tracking No'. <br /> Special Instructions: OXYs:MTBE,TBA DIPS ETBE TAME ethanol Mdl-n- <br /> THIS LINE-LAB USE ONLY. Custody Seals In Place.Yes/No I Temp Blank Yes/No Cooler Temp on Receipt. °F/C Trip Blank:Yes/No MS/MSD Sample Submitted:Yes/No <br /> BP/ARC LaMP COC Rev.6 01101/2009 <br />